• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>International Journal of Surgery Case Reports >Complicating factors in the management of advanced Bouveret syndrome in frail and medically complex patients: Case report and discussion of pathophysiology
【24h】

Complicating factors in the management of advanced Bouveret syndrome in frail and medically complex patients: Case report and discussion of pathophysiology

机译：虚弱与医学复杂患者高级北京综合征管理中的复杂因素：病例报告及病理生理学探讨

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Introduction Bouveret Syndrome is a rare but important variant of gallstone ileus with high potential for morbidity and mortality. Bouveret syndrome is a complication of gallstone disease resulting from chronic inflammation and subsequent fistulization between the gallbladder and duodenum or stomach with subsequent impaction of the stone in the proximal GI tract. Here we present a case in an elderly man with moderate medical comorbidities. Presentation of case An elderly man presented to the hospital with symptoms of gastrointestinal obstruction. Upon further diagnostic work-up, he was noted to have a 5.8 cm gallstone impacted in his proximal GI tract and thus diagnosed with a rare variant of gallstone ileus—Bouveret syndrome. Discussion The therapeutic goal in approaching Bouveret syndrome is removal of the stone and improvement in obstruction and cholangitis. This may be accomplished with surgery or endoscopic therapy—although this may be less effective. Bouveret syndrome may have high morbidity. Conclusion Bouveret syndrome is a rare but potentially serious syndrome that should be managed accordingly. It should remain on the differential diagnosis of an elderly patient presenting with gastrointestinal obstructions, particularly if there is a history of gallstone disease and concern for proximal GI obstruction.
机译：介绍北方综合征是一种罕见但重要的胆石Ileus变体，具有高潜力的发病率和死亡率。 Bouveret综合征是胆石疾病的并发症，由慢性炎症和随后在胆囊和十二指肠或胃之间的瘘管之间的抗瘘管，随后在近端Gi胃肠道中的石头施加。在这里，我们提出了一个患有中度医疗合并症的老人的案例。案例呈现给医院的老人患有胃肠道梗阻的症状。在进一步诊断后，他被指出，在他的近端GI的胃肠道中产生了5.8厘米的胆结石，因此诊断出一种稀有的胆石Ileus-Bouveret综合征的变种。讨论接近北京综合征的治疗目标是去除梗阻和胆管炎的石头和改善。这可以通过手术或内窥镜治疗来完成 - 尽管这可能不那么有效。 Bouveret综合征可能具有高发病率。结论Bouveret综合征是一种罕见但潜在的严重综合征，应该相应管理。它应留在患有胃肠障碍物的老年患者的鉴别诊断，特别是如果胆石病史和对近端GI障碍的关注。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号